ES2301786T3 - Endoscopio con aparato de guia. - Google Patents
Endoscopio con aparato de guia. Download PDFInfo
- Publication number
- ES2301786T3 ES2301786T3 ES03713758T ES03713758T ES2301786T3 ES 2301786 T3 ES2301786 T3 ES 2301786T3 ES 03713758 T ES03713758 T ES 03713758T ES 03713758 T ES03713758 T ES 03713758T ES 2301786 T3 ES2301786 T3 ES 2301786T3
- Authority
- ES
- Spain
- Prior art keywords
- guide
- endoscope
- controllable
- distal
- segments
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 238000000576 coating method Methods 0.000 claims abstract description 16
- 239000011248 coating agent Substances 0.000 claims abstract description 15
- 238000003780 insertion Methods 0.000 claims abstract description 15
- 230000037431 insertion Effects 0.000 claims abstract description 15
- 210000002435 tendon Anatomy 0.000 claims abstract description 5
- 230000004323 axial length Effects 0.000 claims description 4
- 238000004891 communication Methods 0.000 claims description 4
- 239000012530 fluid Substances 0.000 claims description 4
- 238000011109 contamination Methods 0.000 claims 1
- 210000001072 colon Anatomy 0.000 description 70
- 230000033001 locomotion Effects 0.000 description 33
- 238000000034 method Methods 0.000 description 21
- 239000000835 fiber Substances 0.000 description 11
- 230000007246 mechanism Effects 0.000 description 9
- 239000007789 gas Substances 0.000 description 8
- 238000013461 design Methods 0.000 description 6
- 239000000463 material Substances 0.000 description 6
- 238000011282 treatment Methods 0.000 description 6
- 230000015572 biosynthetic process Effects 0.000 description 5
- 238000003384 imaging method Methods 0.000 description 5
- 230000008569 process Effects 0.000 description 5
- 210000000436 anus Anatomy 0.000 description 4
- 230000008859 change Effects 0.000 description 4
- 238000000605 extraction Methods 0.000 description 4
- 238000002052 colonoscopy Methods 0.000 description 3
- 238000010276 construction Methods 0.000 description 3
- 230000002262 irrigation Effects 0.000 description 3
- 238000003973 irrigation Methods 0.000 description 3
- 230000000670 limiting effect Effects 0.000 description 3
- 230000001050 lubricating effect Effects 0.000 description 3
- 239000013307 optical fiber Substances 0.000 description 3
- 210000000056 organ Anatomy 0.000 description 3
- 238000004659 sterilization and disinfection Methods 0.000 description 3
- 210000001815 ascending colon Anatomy 0.000 description 2
- 230000005540 biological transmission Effects 0.000 description 2
- 238000004140 cleaning Methods 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 210000001731 descending colon Anatomy 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 229920001971 elastomer Polymers 0.000 description 2
- 239000000806 elastomer Substances 0.000 description 2
- 206010022694 intestinal perforation Diseases 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 239000000314 lubricant Substances 0.000 description 2
- 229920000642 polymer Polymers 0.000 description 2
- 229920000307 polymer substrate Polymers 0.000 description 2
- 210000000664 rectum Anatomy 0.000 description 2
- 230000000717 retained effect Effects 0.000 description 2
- 230000001954 sterilising effect Effects 0.000 description 2
- 239000003351 stiffener Substances 0.000 description 2
- 229920001169 thermoplastic Polymers 0.000 description 2
- 230000007704 transition Effects 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 235000013162 Cocos nucifera Nutrition 0.000 description 1
- 244000060011 Cocos nucifera Species 0.000 description 1
- 240000006890 Erythroxylum coca Species 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 229910000831 Steel Inorganic materials 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 239000000956 alloy Substances 0.000 description 1
- 229910045601 alloy Inorganic materials 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 238000013528 artificial neural network Methods 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 210000000601 blood cell Anatomy 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 238000013276 bronchoscopy Methods 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 235000008957 cocaer Nutrition 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000002405 diagnostic procedure Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000002440 hepatic effect Effects 0.000 description 1
- 210000003405 ileum Anatomy 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 238000010297 mechanical methods and process Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 238000012856 packing Methods 0.000 description 1
- 230000036961 partial effect Effects 0.000 description 1
- 210000004417 patella Anatomy 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000002040 relaxant effect Effects 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 210000001599 sigmoid colon Anatomy 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 230000003393 splenic effect Effects 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 229920001187 thermosetting polymer Polymers 0.000 description 1
- 210000003384 transverse colon Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
- 238000007794 visualization technique Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/00078—Insertion part of the endoscope body with stiffening means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00147—Holding or positioning arrangements
- A61B1/00154—Holding or positioning arrangements using guiding arrangements for insertion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0052—Constructional details of control elements, e.g. handles
- A61B1/0053—Constructional details of control elements, e.g. handles using distributed actuators, e.g. artificial muscles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/0051—Flexible endoscopes with controlled bending of insertion part
- A61B1/0055—Constructional details of insertion parts, e.g. vertebral elements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/31—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
- A61B5/065—Determining position of the probe employing exclusively positioning means located on or in the probe, e.g. using position sensors arranged on the probe
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/005—Flexible endoscopes
- A61B1/008—Articulations
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/012—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor characterised by internal passages or accessories therefor
- A61B1/015—Control of fluid supply or evacuation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B2034/301—Surgical robots for introducing or steering flexible instruments inserted into the body, e.g. catheters or endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0043—Catheters; Hollow probes characterised by structural features
- A61M2025/0063—Catheters; Hollow probes characterised by structural features having means, e.g. stylets, mandrils, rods or wires to reinforce or adjust temporarily the stiffness, column strength or pushability of catheters which are already inserted into the human body
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Biophysics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Physics & Mathematics (AREA)
- Animal Behavior & Ethology (AREA)
- Optics & Photonics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Human Computer Interaction (AREA)
- Endoscopes (AREA)
- Instruments For Viewing The Inside Of Hollow Bodies (AREA)
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US87100 | 2002-03-01 | ||
US10/087,100 US6800056B2 (en) | 2000-04-03 | 2002-03-01 | Endoscope with guiding apparatus |
US229814 | 2002-08-27 | ||
US10/229,814 US6974411B2 (en) | 2000-04-03 | 2002-08-27 | Endoscope with single step guiding apparatus |
Publications (1)
Publication Number | Publication Date |
---|---|
ES2301786T3 true ES2301786T3 (es) | 2008-07-01 |
Family
ID=27791175
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
ES03713758T Expired - Lifetime ES2301786T3 (es) | 2002-03-01 | 2003-02-26 | Endoscopio con aparato de guia. |
Country Status (7)
Country | Link |
---|---|
US (6) | US6974411B2 (de) |
EP (1) | EP1487318B1 (de) |
AT (1) | ATE390077T1 (de) |
AU (1) | AU2003217794A1 (de) |
DE (1) | DE60319966T2 (de) |
ES (1) | ES2301786T3 (de) |
WO (1) | WO2003073920A2 (de) |
Families Citing this family (228)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7744613B2 (en) * | 1999-06-25 | 2010-06-29 | Usgi Medical, Inc. | Apparatus and methods for forming and securing gastrointestinal tissue folds |
US8517923B2 (en) | 2000-04-03 | 2013-08-27 | Intuitive Surgical Operations, Inc. | Apparatus and methods for facilitating treatment of tissue via improved delivery of energy based and non-energy based modalities |
US6610007B2 (en) | 2000-04-03 | 2003-08-26 | Neoguide Systems, Inc. | Steerable segmented endoscope and method of insertion |
US6858005B2 (en) * | 2000-04-03 | 2005-02-22 | Neo Guide Systems, Inc. | Tendon-driven endoscope and methods of insertion |
US6984203B2 (en) * | 2000-04-03 | 2006-01-10 | Neoguide Systems, Inc. | Endoscope with adjacently positioned guiding apparatus |
US6468203B2 (en) | 2000-04-03 | 2002-10-22 | Neoguide Systems, Inc. | Steerable endoscope and improved method of insertion |
US6837846B2 (en) * | 2000-04-03 | 2005-01-04 | Neo Guide Systems, Inc. | Endoscope having a guide tube |
US8888688B2 (en) | 2000-04-03 | 2014-11-18 | Intuitive Surgical Operations, Inc. | Connector device for a controllable instrument |
US6860668B2 (en) * | 2001-10-09 | 2005-03-01 | Endoscopic Technologies, Inc. | Method and apparatus for improved stiffness in the linkage assembly of a flexible arm |
JP2005514145A (ja) | 2002-01-09 | 2005-05-19 | ネオガイド システムズ, インコーポレイテッド | 内視鏡結腸切除のための装置および方法 |
AU2002360767A1 (en) * | 2002-01-09 | 2003-07-30 | Neoguide Systems, Inc | Apparatus and method for spectroscopic examination of the colon |
WO2003088833A1 (en) | 2002-04-22 | 2003-10-30 | The Johns Hopkins University | Apparatus for insertion of a medical device during a medical imaging process |
US8298161B2 (en) | 2002-09-12 | 2012-10-30 | Intuitive Surgical Operations, Inc. | Shape-transferring cannula system and method of use |
US9808597B2 (en) | 2002-09-12 | 2017-11-07 | Intuitive Surgical Operations, Inc. | Shape-transferring cannula system and method of use |
US7993285B2 (en) * | 2002-11-05 | 2011-08-09 | Boston Scientific Scimed, Inc. | Medical device having flexible distal tip |
US8882657B2 (en) | 2003-03-07 | 2014-11-11 | Intuitive Surgical Operations, Inc. | Instrument having radio frequency identification systems and methods for use |
US20040199052A1 (en) | 2003-04-01 | 2004-10-07 | Scimed Life Systems, Inc. | Endoscopic imaging system |
US7042184B2 (en) * | 2003-07-08 | 2006-05-09 | Board Of Regents Of The University Of Nebraska | Microrobot for surgical applications |
US7960935B2 (en) | 2003-07-08 | 2011-06-14 | The Board Of Regents Of The University Of Nebraska | Robotic devices with agent delivery components and related methods |
US20080058989A1 (en) * | 2006-04-13 | 2008-03-06 | Board Of Regents Of The University Of Nebraska | Surgical camera robot |
GB0324173D0 (en) * | 2003-10-15 | 2003-11-19 | Anson Medical Ltd | Flexible delivery system |
DE102004003166B4 (de) * | 2004-01-21 | 2011-09-15 | Siemens Ag | Katheter |
US8467875B2 (en) | 2004-02-12 | 2013-06-18 | Medtronic, Inc. | Stimulation of dorsal genital nerves to treat urologic dysfunctions |
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US9205255B2 (en) | 2004-06-10 | 2015-12-08 | Medtronic Urinary Solutions, Inc. | Implantable pulse generator systems and methods for providing functional and/or therapeutic stimulation of muscles and/or nerves and/or central nervous system tissue |
US9308382B2 (en) | 2004-06-10 | 2016-04-12 | Medtronic Urinary Solutions, Inc. | Implantable pulse generator systems and methods for providing functional and/or therapeutic stimulation of muscles and/or nerves and/or central nervous system tissue |
US8195304B2 (en) | 2004-06-10 | 2012-06-05 | Medtronic Urinary Solutions, Inc. | Implantable systems and methods for acquisition and processing of electrical signals |
US7761167B2 (en) | 2004-06-10 | 2010-07-20 | Medtronic Urinary Solutions, Inc. | Systems and methods for clinician control of stimulation systems |
WO2005123181A2 (en) | 2004-06-10 | 2005-12-29 | Ndi Medical, Llc | Implantable pulse generator for providing functional and/or therapeutic stimulation of muscles and/or nerves and/or central nervous system tissue |
EP1778054B1 (de) | 2004-06-25 | 2013-08-07 | Carnegie Mellon University | Steuerbare follow-the-leader-vorrichtung |
US7771411B2 (en) | 2004-09-24 | 2010-08-10 | Syntheon, Llc | Methods for operating a selective stiffening catheter |
US20060135847A1 (en) * | 2004-12-22 | 2006-06-22 | Zoom Medical, L.L.C. | Endoscope guiding device |
US8797392B2 (en) | 2005-01-05 | 2014-08-05 | Avantis Medical Sytems, Inc. | Endoscope assembly with a polarizing filter |
US8872906B2 (en) | 2005-01-05 | 2014-10-28 | Avantis Medical Systems, Inc. | Endoscope assembly with a polarizing filter |
US8182422B2 (en) | 2005-12-13 | 2012-05-22 | Avantis Medical Systems, Inc. | Endoscope having detachable imaging device and method of using |
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US8289381B2 (en) | 2005-01-05 | 2012-10-16 | Avantis Medical Systems, Inc. | Endoscope with an imaging catheter assembly and method of configuring an endoscope |
US8388523B2 (en) * | 2005-04-01 | 2013-03-05 | Welch Allyn, Inc. | Medical diagnostic instrument having portable illuminator |
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JP2009517608A (ja) | 2005-11-23 | 2009-04-30 | ネオガイド システムズ, インコーポレイテッド | 操舵可能な装置用の非金属マルチストランド制御ケーブル |
US9962066B2 (en) * | 2005-12-30 | 2018-05-08 | Intuitive Surgical Operations, Inc. | Methods and apparatus to shape flexible entry guides for minimally invasive surgery |
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-
2002
- 2002-08-27 US US10/229,814 patent/US6974411B2/en not_active Expired - Lifetime
-
2003
- 2003-02-26 EP EP03713758A patent/EP1487318B1/de not_active Expired - Lifetime
- 2003-02-26 DE DE60319966T patent/DE60319966T2/de not_active Expired - Lifetime
- 2003-02-26 AU AU2003217794A patent/AU2003217794A1/en not_active Abandoned
- 2003-02-26 ES ES03713758T patent/ES2301786T3/es not_active Expired - Lifetime
- 2003-02-26 WO PCT/US2003/006078 patent/WO2003073920A2/en not_active Application Discontinuation
- 2003-02-26 AT AT03713758T patent/ATE390077T1/de not_active IP Right Cessation
-
2005
- 2005-09-14 US US11/228,013 patent/US20060089529A1/en not_active Abandoned
- 2005-09-14 US US11/227,978 patent/US20060089528A1/en not_active Abandoned
- 2005-09-14 US US11/228,025 patent/US20060089532A1/en not_active Abandoned
- 2005-09-14 US US11/228,014 patent/US20060089530A1/en not_active Abandoned
- 2005-09-14 US US11/228,024 patent/US20060089531A1/en not_active Abandoned
Also Published As
Publication number | Publication date |
---|---|
US20060089530A1 (en) | 2006-04-27 |
EP1487318B1 (de) | 2008-03-26 |
DE60319966T2 (de) | 2009-04-16 |
EP1487318A4 (de) | 2005-12-14 |
DE60319966D1 (de) | 2008-05-08 |
US20060089532A1 (en) | 2006-04-27 |
US20060089528A1 (en) | 2006-04-27 |
WO2003073920A2 (en) | 2003-09-12 |
US20030032859A1 (en) | 2003-02-13 |
WO2003073920A3 (en) | 2004-03-04 |
ATE390077T1 (de) | 2008-04-15 |
US20060089529A1 (en) | 2006-04-27 |
EP1487318A2 (de) | 2004-12-22 |
US6974411B2 (en) | 2005-12-13 |
US20060089531A1 (en) | 2006-04-27 |
AU2003217794A1 (en) | 2003-09-16 |
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